part 11

Question 1

what are the methods used for vestibular assessmenet

Answer 1

1. bedside screening for appropriate referral (clinical exam)
2. advanced/vestibular testing at the site of lesion (variable)

Question 2

The goal of screening for appropriate referral (bedside)

Answer 2

determine probable site of lesion (peripheral or central)
- done once neurological emergency (stroke) is considered unlikely

Question 3

peripheral lesions in neurology are

Answer 3

lesions of cranial nerve, cranial nerve nuclei and neuromuscular junctions

Question 4

central lesions are

Answer 4

brainstem, cerebrum or cerebellum

Question 5

screening for cerebellar function

Answer 5

1. sitting (upper and lower body)
2. standing

Question 6

upper body sitting tests

Answer 6

finger to finger point
index to nose
squeeze hands
dysdiadochokinesis (flipcake)
rebound

Question 7

lower body sitting test

Answer 7

knee to hip
toe tap

Question 8

standing test

Answer 8

romberg
fukudo
3m walk
star walk
tandem gait

Question 9

tandem gait

Answer 9

toe to heel
-police walk in straight line

Question 10

When you lean to the left is that the healthy or compensated side

Answer 10

compensated
- if vestibular deficit in L, lean L

Question 11

star walking positive test

Answer 11

when you walk in starlike formation

Question 12

what is considered abnormal for fukudo

Answer 12

if 20 steps of high knees greater than 30 degree
50 steps greater than 45 abnormal